MyMedi-AI

L2260 — Addition to lower extremity, reinforced solid stirrup (scott-craig type)

HCPCS Level II L-code · short descriptor: “Reinforced solid stirrup”

Code system
HCPCS Level II
Family
L — Orthotics & prosthetics
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category
Prosthetics & orthotics
Prior authorization
Not on Medicare required-PA list
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

L2260 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $230.35 to $839.25 depending on state and rural status.

Former-CBA payment limits: ceiling $307.14 · floor $230.35

StateNon-ruralRural
AK$784.83
AL$230.35
AR$237.72
AZ$307.14
CA$307.14
CO$263.40
CT$230.35
DC$230.35
DE$230.35
FL$230.35
GA$230.35
HI$839.25
IA$230.35
ID$230.35
IL$230.35
IN$230.35
KS$230.35
KY$230.35
LA$237.72
MA$230.35
MD$230.35
ME$230.35
MI$230.35
MN$230.35
MO$230.35
MS$230.35
MT$263.40
NC$230.35
ND$263.40
NE$230.35
NH$230.35
NJ$307.14
NM$237.72
NV$307.14
NY$307.14
OH$230.35
OK$237.72
OR$230.35
PA$230.35
PR$742.36
RI$230.35
SC$230.35
SD$263.40
TN$230.35
TX$237.72
UT$263.40
VA$230.35
VI$307.14
VT$230.35
WA$230.35
WI$230.35
WV$230.35
WY$263.40
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Common denial codes to watch

Related L-codes

Bill L2260 with confidence

MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.

Start free trial   Run a CMS-0057-F readiness check

Prefer DIY compliance? Self-audit documentation kits for DME suppliers →